title: Diaphragmatic resection in association with right hepatectomy.
abstract: Ten cases of combined diaphragmatic and hepatic resection for tumours involving both structures are described. A complete work-up, including ultrasonography and computed tomography, usually can predict potential direct spread to the diaphragm. Up to 50% of the diaphragm can be excised and reconstructed without the need for prosthetic mesh or tissue transfer. Diaphragmatic resection does not appear to cause long-term postoperative morbidity. Diaphragmatic invasion by primary or secondary tumours does not preclude resection for cure. Pulmonary function studies are not necessary if there is no serious pre-existing lung disease.
authors.affiliation: Department of Surgery, Vancouver General Hospital, BC.
authors.forename: C H
authors.initials: CH
authors.lastname: Scudamore
authors.forename: C R
authors.initials: CR
authors.lastname: Shackleton
authors.forename: J S
authors.initials: JS
authors.lastname: Fache
authors.forename: A D
authors.initials: AD
authors.lastname: Forward
authors.forename: S R
authors.initials: SR
authors.lastname: Erb
mesh_terms: D000328:Adult; D000368:Aged; D003964:Diaphragm / Q000473:pathology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies